May 2019

Download The Full May 2019 Issue PDF

Subscribers Only — When advanced osteoarthritis in the shoulder results in pain and loss of function, and nonsurgical treatments no longer help, joint replacement surgery may become an option.   More...

Who Will Treat Your Arthritis?

Subscribers Only — "Typically, patients see the rheumatologist on their first visit and come back to see an APP for follow-up visits," says Paczos. "We try to have them see the doctor once a year and the APP in between." She notes that many patients like seeing an APP because they often can spend more time with them.   More...

Combatting Muscle Loss

If you are over 50 and don't feel as strong as you used to or don't have as much stamina as you once did, it's not surprising. Just like bone density decreases with age, we also lose muscle mass. The decline in skeletal muscle, a condition called sarcopenia, is a natural process that occurs in everyone over time. It can lead to frailty and increased risk for falls and loss of independence.   More...

Vitamin K for Bone Health

Subscribers Only — Some studies, many of them conducted in Japan, found that supplementation with vitamin K1 or vitamin K2 improved bone mineral density, and a few studies showed a decreased risk of bone fractures. Some subsequent studies found that vitamin K supplementation had no effect on bone mineral density. Many of the studies conducted thus far are limited by flaws in the design or a small number of participants.   More...

Start Moving in May

Subscribers Only — Consider seeing a physical therapist who can tailor an exercise program to your particular needs. In general, you'll benefit from some combination of aerobic, resistance and performance exercises. Aerobic exercises get your heart beating faster and are good for heart health. Resistance exercises focus on muscle strength. Performance exercises improve your ability to perform particular activities and include balance exercises.   More...

In The News: May 2019

Joint replacement surgery is an option for people with severe osteoarthritis in the hip or knee that can no longer be helped with nonsurgical measures. The surgery has a high success rate. However, over time the implants eventually fail due to loosening, infection, instability and other reasons.   More...

New Life for Shoulders

Reverse shoulder replacement is similar to the anatomic version, except the positions of the two components of the implant are reversed. "We put the ball on the socket side and the socket on the ball side," says Dr. Entezari. This solves the problem of not having rotator cuff muscles to keep the joint stable because the socket can be made deeper and the two parts of the implant are linked.   More...

Ask The Doctors: May 2019

Osteoarthritis starts when cartilage (the covering over the ends of bones in joints that allows for smooth movement) breaks down and thins. This leads to damage to other structures in and around the joint and inflammation. This causes joint pain, stiffness and swelling. Symptoms often start slowly and get worse over time.   More...